Individual provider Active NPI

Ann S. Connaghan, M.D.

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1609869106
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AC043757 Issued in MI
Practice address
5821 Colony Dr N
Saginaw, MI 48638
Phone
(989) 797-1041
Fax
(989) 799-0256
NPI assigned
Aug 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AC043757 MI Primary

Addresses

Primary practice location

5821 Colony Dr N
Saginaw, MI 48638

Mailing address

PO Box 779
Tawas City, MI 48764-0779
Phone (989) 797-1041

Other practice location 1

4040B N Euclid Ave
Bay City, MI 48706-2407
Phone (989) 671-9153

Other practice location 2

9900 Birch Run Rd Ste D
Birch Run, MI 48415-9609
Phone (989) 624-1575

Other practice location 3

5810 Gratiot Rd Ste B
Saginaw, MI 48638-6063
Phone (989) 790-3650

Other identifiers 2

IdentifierTypeStateIssuer
OZ91013OtherMIBLUE CROSS & BLUE SHIEL
3356140MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address annconnaghan@smomsjhs.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AC043757MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw Family Medicine Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1609869106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487640779",
            "telephone_number": "989-797-1041",
            "fax_number": "989-799-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 COLONY DR N",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48638",
            "telephone_number": "989-797-1041",
            "fax_number": "989-799-0256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040B N Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487062407",
            "country_code": "US",
            "telephone_number": "989-671-9153",
            "fax_number": "989-671-9253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9900 Birch Run Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Birch Run",
            "state": "MI",
            "postal_code": "484159609",
            "country_code": "US",
            "telephone_number": "989-624-1575",
            "fax_number": "989-624-1507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5810 Gratiot Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486386063",
            "country_code": "US",
            "telephone_number": "989-790-3650",
            "fax_number": "989-790-8630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNAGHAN",
        "first_name": "ANN",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "AC043757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS   & BLUE SHIEL",
            "identifier": "OZ91013",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3356140",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "annconnaghan@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "9900 Birch Run Rd Ste D",
            "city": "Birch Run",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484159609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.